郁甦散劑對肺炎喘嗽急性期患兒的療效分析

林玉平　曹時珍　胡麗風　林響　全梅玉

[摘要] 目的 探討郁甦散劑對肺炎喘嗽急性期患兒的療效分析。 方法 將180例肺炎喘嗽急性期患兒分為單純西醫治療組（對照組）、郁甦散劑組（西醫治療+郁甦散劑）和麻杏石甘湯組（西醫治療+麻杏石甘湯加減），每組各60例。觀察三組患兒癥候、體溫恢復正常、肺部啰音消失時間及X線復查肺部病灶吸收、血象恢復情況等。 結果三組患者治療前癥狀無統計學差異；治療后表現出顯著的組間差異性，郁甦散劑組和麻杏石甘湯組在退熱、咳嗽、喘息癥狀改善和肺部啰音消失時間、平均治療天數，均優于對照組（P<0.05）；郁甦散劑組和麻杏石甘湯組則無顯著差異（P>0.05）。通過對三組患兒足療程治療后療效情況進行兩兩組間比較分析，郁甦散劑組和麻杏石甘湯組比較，差異無統計學意義（P>0.05），上述兩組分別與對照組比較，差異有統計學意義（P<0.05）。 結論 郁甦散劑對肺炎喘嗽急性期患兒治療與傳統的麻杏石甘湯加減治療同樣有效，比單用西藥治療組療效佳。

[關鍵詞] 郁甦散劑；麻杏石甘湯；肺炎喘嗽；急性期

[中圖分類號] R272 [文獻標識碼] B [文章編號] 1673-9701（2017）36-0134-004

[Abstract] Objective To investigate the curative effect of YuSu powder on children with acute asthma of pneumonia. Methods 180 children with acute asthma cough were randomly divided into the Western medicine treatment group （control group）， YuSu powder group （Western medicine treatment+YuSu Powder）， Maxing Shigan decoction group （Western medicine treatment + Maxing Shigan decoction）， with 60 cases in each group. The symptoms， the time of body temperature returned to normal， the time of pulmonary rales disappearing and the absorption of lung lesions examined by X-ray and blood recovery in three groups were observed. Results There was no significant difference in symptoms between the three groups before treatment. After treatment， there were significant differences between groups. YuSu powder group and Maxing Shigan decoction group were better than the control group in the anti-fever， improvement of cough， wheezing symptoms and the days of pulmonary rales disappearing and treatment （P<0.05）. There was no significant difference between YuSu powder group and Maxing Shigan decoction group（P>0.05）. By comparing the curative effect between the three groups of children after full course of treatment， the results showed that there was no significant difference between YuSu powder group and Maxing Shigan decoction group （P>0.05）. There were significant differences between the above groups and the control group（P<0.05）. Conclusion YuSu powder has the same effect as the traditional Maxing Shigan decoction in children with acute asthma cough treatment， and has btter effect than the Western medicine group.

[Key words] YuSu powder； Maxing Shigan soup； Pneumonia asthma； Acute period

肺炎喘嗽是小兒時期常見的肺系疾病之一，臨床以發熱、咳嗽、痰壅、氣急、鼻煽為主要癥狀。重者可見張口抬肩、呼吸困難、面色蒼白、口唇青紫等癥[1]。本病是兒科常見病，一年四季均可發生，冬春季多見，好發于嬰幼兒，病因主要是小兒外感風邪、挾寒挾熱犯肺所致。本研究通過肺炎喘嗽急性期患兒在西醫治療的基礎上予以加用自擬的“郁甦散劑”或傳統的麻杏石甘湯加減與單用西醫治療進行比較，在臨床癥候改善、炎癥指標好轉等方面，“郁甦散劑”與傳統的麻杏石甘湯加減同樣取得較好療效，比單用西醫治療療效佳，現報道如下。